| NPI | 1861715773 |
|---|---|
| Other Name | GULF COAST INDUSTRIES |
| Entity Type | Organization |
| Authorized Contact | DEBORA J STANOVICH Credentials Specialist 228-863-1132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS r13-1) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2019-10-21 |